Provider Demographics
NPI:1790498756
Name:J&H CHEEMA LLC
Entity Type:Organization
Organization Name:J&H CHEEMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-575-6945
Mailing Address - Street 1:4232 WILLIAMS BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2271
Mailing Address - Country:US
Mailing Address - Phone:504-319-1323
Mailing Address - Fax:
Practice Address - Street 1:4232 WILLIAMS BLVD STE 108
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2271
Practice Address - Country:US
Practice Address - Phone:504-405-5582
Practice Address - Fax:504-405-5558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J&H CHEEMA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA259330Medicaid